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"Education is the most powerful weapon which you can use to change the world”
– Nelson Mandela

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Nursing Assessment

Nursing Assessment

Q As the school nurse working in a college health clinic, you see many opportunities to promote health. Maria is a 40-year-old Hispanic who is in her second year of nursing school. She complains of a 14-pound weight gain since starting school and is afraid of what this will do to both her appearance and health if the trend continues. After conducting her history, you learn that she is an excellent cook and she and her family love to eat foods that reflect their Hispanic heritage. She is married with two school-age children. She attends class a total of 15 hours per week, plus she must be present for 12 hours of labs and clinical. She maintains the household essentially by herself and does all the shopping, cooking, cleaning, and chauffeuring of the children. She states that she is lucky to get 5 hours of sleep per night, but that is okay with her. She drinks coffee all morning to "keep her going." She lives 1 hour from campus and commutes each day, and often drinks diet cola to "stay awake." When asked what she does to relax and de-stress, Maria states she "doesn't even have time to think about that." Maria's vitals today are as follows; T 98.6, R 20, HR 88, BP 148/90 Using the lesson and text as your guide, answer the following questions. 1. What additional assessment data (subjective and/or objective) would you like to gather from Maria? 2. What actual health concerns and risk factors have you identified? 3. What are some opportunities to promote health and wellness for Maria? 4. Write one nursing diagnosis for Maria (actual, wellness or risk), based on one of the health concerns or opportunities you have identified. (Please use one of the formulas outlined in the text and lesson!)

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Maria sleeps only for 5 hours a day. I would like to know how to see feels throughout the day. If she feels sleepy all day and if she feels that she needs more hours of sleep then it will mean that she is facing disturbance in her sleep cycle. She has already reported an excess of caffeine consumption. “Drinking coffee all day” cannot be healthy, coffee raises stress levels and thus she must be assessed for her stress levels. There are several scopes of cardiac risk because she has high blood pressure. I will record whether she feels palpitations during the day. Also, I will ask whether she does cardio workouts, or climbs stairs (Gordon, 2008).